DOCUMENTS Initial Application Date:S la Application# I SO )1413
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COUNTY OF HARNETT RESIDENTIAL LAND USE APPLICATION
Central Permitting 108 E.Front Street,Lillington.NC 27546 Phone:(910)893-7525 ext:2 Fax:(910)893-2793 www.hametl.org/permits
^A RECORDED SURVEY MAP,RECORDED DEED(OR OFFER TO PURCHASE)&SITE PLAN ARE REQUIRED WHEN SUBMIT RIG A LAND USE APPLICATIOM•
LANDOWNER:en W \VE\ L L Mailing Address:
City: State: Zip: Contact No: Email:
APPLICANT': (#,Q14-, LGG 'rxY - Mailing Address:.55:02)&442)&44 LGg(nUnd.AUL 64-C r?.e
City: Ci teas*barb Stale: yvycip:Z%4It Contact No:/"T f-`TMS vawgsL EmaiIliOJOL4ZO .,r f/R/! r
'Please fill out applicant information If different than landowner onieS COfA'1
CONTACT NAME APPLYING IN OFFICE: { 1...r( j..1..D11 1 It Phone# COQ- (4S-4(.SU
PROPERTY LOCATION:Subdivision: CACN TitV lV I I lin, Lot#: 3r-a Lot SizejS 2 L
Stale Road# State Road Name: N°)IAL) Oe .Sft' y Map Book,&&Page:7./) / 541
Parcel: (l\n5AA� •Q ,25 'f(� PIN: Q5o4 • t$• -7L--ESa .bc <_)
Zoning: VA-Z.DFMiood Zone: NI Watershed: V Deed Book&Page: 33/-1k1 A I3L.PowerCompany:al16 _
*New structures with Progress Energy as service provider need to supply premise number from Progress Energy.
PROPOSED USE:
� Monolithic
SFD:(Size�l_ 04
x -4)#Bedrooms:14 #Bathe:ZJBasement(wAvo bath):It Garage:V Deck:U Crawl Space:_Slab:_ _Slab:&
(Is the bonus room finished?( )yes ( )no w/a closet?( 1 yes (J no(If yes add in with#bedrooms)
❑ Mod:(Size x )#Bedrooms_#Baths_Basement(w/wo bath) Garage:_Site Built Deck: On Frame Off Frame_
(Is the second floor finished?(J yes ( )no Any other site built additions?( )yes ( )no
U Manufactured Home: SW DW_TW(Size x )#Bedrooms:_Garage: (site built? )Deck: (site built? )
❑ Duplex:(Size_x_)No.Buildings: No.Bedrooms Per Unit:
U Home Occupation:#Rooms: Use: Hours of Operation: #Employees:
❑ Addition/Accessory/Other:(Size x 1 Use: Closets in addition?( )yes (_)no
Water Supply: V County Existing Well New Well(#of dwellings using well )*must have operable water before final
Sewage Supply: New Septic Tank(Complete Checklist) _Existing Septic Tank(Complete Checklist) x County Sewer
Does owner of this tract of land.own land that contains a manufactured home within five hundred feet(500)of tract listed above?( )yes (I)no
Does the property contain any easements whether underground or overhead(ig,)yes ( )no
Structures(existing o ropoae :Single family dwellings: I Manufactured Homes: Other(specify):
Required Residential Property Line Setbacks:lComments:
Front Minimum 3s Actual'k•\..
Rear L� Lk/CI
Closest Side I0 p•
Sidestreedcomerlot ZO
Nearest Building
on same lot
APPLICATION CONTINUES ON BACK
SPECIFIC DIRECTIONS TO THE PROPERTY FROM LILLINGTONYI 4j1.t Alli Nikki7. 103 - 5J/4 ,
n1Q5. moiv‘<+ Tv tAyi TUBI e 00-1-c) Cou44-51-
If permits are granted I agree to conform to all ordinances and laws of the State of North Carolina regulating such work and the specifications of plans submitted.
I hereby state that foregoing s ements are accurate and coned to the best of my knowledge. Permit subject to revocation if false information is provided.
/ Luc:� lt-b
Signature of Owner noes Agent 5(11(hData
"9t Is the owner/applicants responsibility to provide the county with any applicable Information about the subject property,Including but not limited
to:boundary Information,house location,underground or overhead easements,etc.The county or Its employees are not responsible for any
Incorrect or missing Information that Is contained within these applications."'
"This application expires 9 months from the initial date N permits have not been Issued"
MICHAEL P. GRIFFIN .. my m,i u.ee, ,,, seeton .,m
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HALLOW OAK STREET
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NOV-f I'02 50. FT. `. ffOVE S
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PAOy .'750. FT. •h'r. r, ,.�.r �,n s=OUT =1CAov . ,
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1 LEGEND - �, -/
ASSIGNMENT,ASSUMPTION AND AMENDMENT
OF AGREEMENT TO PURCHASE AND SELL
THIS ASSIGNMENT, ASSUMPTION AND AMENDMENT OF AGREEMENT TO
PURCHASE AND SELL (the "Assignment") is made and entered into as of the latest date on
which it is signed by any party(the"Assignment Effective Date")by and between WADE JURNEY
HOMES,INC.,a North Carolina corporation("Assignor"),MRT-1,LLC,a North Carolina limited
liability company("Assignee")and FIRST TROY SPE,LLC ("Seller").
RECITALS:
WHEREAS,Assignor and Seller entered into that certain Agreement to Purchase and Sell,
dated August 18, 2016, (the "Contract"), whereby Assignor agreed to purchase from Seller, and
Seller agreed to sell and convey to Assignor, the real property known as 21 lots in Olde Fann
Village, Harnett County, North Carolina(the"Property"); and
WHEREAS, Assignor desires to assign its rights and to delegate its obligations under the
Contract to Assignee, and Assignee desires to accept such assignment and delegation, all as
provided herein; and
WHEREAS,Assignor,Assignee and Seller now mutually desire to amend certain terms
and conditions of the Contract;
NOW THEREFORE, in consideration of the premises, and for other good and valuable
consideration,the receipt and sufficiency of which are hereby acknowledged,Assignor, Assignee
and Seller, each as applicable, agree as follows:
I. Recitals. The foregoing Recitals are incorporated into this Assignment and made
a part hereof bythis reference to the same extent as if fully set forth in the body hereof
2. Assignment and Delegation. Assignor does hereby assign, transfer, sell and
convey unto Assignee all of Assignor's right, title and interest in, to and under the Contract and
does hereby delegate to Assignee all of Assignor's duties, obligations, and responsibilities under
the Contract with respect to the property identified in"Exhibit A"attached hereto (the"Lots").
3. Assumption. By execution hereof, Assignee does hereby assume and agree to
perform any and all duties, obligations and responsibilities of Assignor under the Contract,
including, without limitation, the obligation to timely purchase the Lots, and agrees to be fully
responsible and liable as the Assignee under the Contract.
4. Assignor's Representations and Warranties. Assignor represents, warrants and
covenants that each and all of the following are true and correct as of the Effective Date of this
Assignment and will be true and correct as of the date of Closing under the Contract:
[N WITNESS WHEREOF,Assignor,Assignee and Seller have executed this Assignment
as of the Effective Date.
Assignor:
WADE JURNEYIi IFS,INC.
By: 0411 Date signed: /s'-td`•ea/<
Name: Richard D. diror
Title: VP of Acquisitions
Assignee:
MRT—I,LLC
B • �� Date signed:. yyy6
Name: an Tim ace
Title: Mem cr/Manager
Seller:
FIRST TROY SPE,LLC
By: Date signed;
Name:
Title:
0
EXHIBIT A
Lots to be purchased by Wade 3umey Homes:
• Lots 129, 130, 132,end 139,Olde Farm Village, Phase 3,as shown on a map recorded in
Book of Maps 2012, Pages 597-598, Harnett County Registry.
Lots to be assigned to and purchased by MRT— 1, LLC:
• Future lots 19-25,58-61, REID#010504 0125 35;
• Lots 135, 136, 140, 141, 147 and 150,Olde Farm Village,Phase 3,as shown on a map
recorded in Book of Maps 2012,Pages 597-598, Harnett County Registry; and
• Any remaining common area/open space not previously conveyed.
09/09/11
Application#
Harnett County Central Permitting
Each section below to be filled out PO Box 55 Lillington NC 27508 '
by whomever performing work 910 B93 7525 Fax 910 893 2793 www hamett org/pemnita
Must be owner or licensed
contractor Address company Application for Residential Building and Trades Permit
name 8 phone must match
Owners Name (A.J4d4 Ju rhn..i 641w1G5 LLL Date
Site Address I I Wo llef4..) A s_ PhoneQIQ•_tS- /
Directions to job site from Lillington la l(.Q. AJC 4w9 Z I a 5 -fic.g,L L[c-4 anla
5.rxw S+ i n 4-cxn 0 rnn40 A. f rrjn+5l.
Subdivision old CO-nn th est.t. Lot I�iS
Description of Proposed Work S #of Bedrooms q
Heated SF ZOOS Unheated SF 345 Finished Bonus Room9 A) Crawl Space _Slab X
General Contractor Information
Lulu 1 c- 53G Z?Z- 3(414 g
Building Co tractor s Company Name Telephone
33m tb44Q'iround ,L1 54.1'72w5CirJrnftleo -rat181lzeabichinemit homGS.
Address Z.744 JO Email Address
yGZ42 CO*
License#
•
El ! is Contractor 1 0
Description of Work nail,rya\ Na yj I Service Size Z Amps T-Pole /Yes_No
Cr-en+ci.r4 5S-1•QOQa
Electrical Contractors Company Name Telephone
Ilila jL1M.51-L7D0Pryiivista n (1.77415--
Address JEmail Address
IbhtU
License#
MechapioalIHVAC Contractor Information
Description of Work I.ILi 1/nu G Air
..orx&,r+Air S31.4'14i-1 4130
Mechanical Contractors Company Name Telephone
V a Sox 571 nu f1/4rnan5 2.1 o1Z
Address Email Address
y718
License#
Plumbing Contractor Information
Description of Work PIVrvtbi n 1144-14-01L #Baths 2.5
804.4 Plurrvloinq c ?34. • '-175•rRZ)
Plumbing Contractors Company-Name Telephone
Id53K £4t gsL1Lc. 20 .
Address Email Address
Zj
Licensense##
Insulation Contractor Information
• 1. . . . . , Wil,• 451 • 5573
Insulation Contractors ompany Name 8 Address Telephone
*NOTE General Contractor must fill out and sign the second page of this application
I hereby certify that I have the authonty to make necessary application that the application is correct
and that-the construction will conform to the regulations in the Building Electrical Plumbing and
Mechanical codes and the Harnett County Zoning Ordinance I state the information on the above
contractors is correct as known to me and that by sionino below I have obtained all subcontractors
permission to obtain these I»rmits and if 98y changes occur including listed contractors site plan
number of bedrooms building and trade plans Environmental Health permit changes or proposed use
changes I certify it is my responsibility to notify the Harnett County Central Permitting Department of
any and all changes
EXPIRED PERMIT FEES -6 Months to 2 years permit re-issue fee is$150 00 After 2 years re-issue fee
is as
�per
rc/current fee scche�dd?le
eh
Signature of Owner/Contractorircer(s)of Corporation Date I 1 t( h
Affidavit for Worker's Compensation N C G S 87-14
The undersigned applicant being the /
General Contractor _Owner V Officer/Agent of the Contractor or Owner
Do hereby confirm under penalties of perjury that the person(s) firm(s)or corporation(s)performing the work
set forth in the permit
_Has three(3)or more employees and has obtained workers compensation Insurance to cover them
Has one(1)or more subcontractors(s)and has obtained workers compensation insurance to cover
them
/Has one (1)or more subcontractors(s)who has their own policy of workers compensation Insurance
covering themselves
Has no more than two(2)employees and no subcontractors
While working on the project for which this permit is sought it is understood that the Central Permitting
Department issuing the permit may require certificates of coverage of workers compensation insurance prior
to issuance of the permit and at any time during the permitted work from any person firm or corporation
carrying out the work
Company or Name J .i Ift t! /
•
Sign w/Title/f l.n„ettiatS 1260V)1.4-4160/711 neiAinDate Skip
DO NOT REMOVE!
Details: Appointment of Lien Agent Filed on: 05/11/2017
Entry #: 651177
Initially filed by: wjh2013
Designated Lien Agent Project Property
Print & Post
Ins.>too Thlc l:nunncc I occipeciN CIF V 115
I I Imunw o"est Qe ❑
UnlNe:ne..h:tw r.cum Spring Like,S C 18190 e•f,
wares. lie unwen N.Nuimwn Raleigh Hunan Com, e
NC 2Thcilo ,•td
P
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on
e Property Type Conlraclon:
Fax 'LH.-rHna,a Please pint Jai.omit.en:he Job Sac.
Iimd:omoon Nim"sn°Lout - :hinuly Da,cluing Suppliers and Suheontrnton:
Scan this lopes ilh mur snap phone to
Lew this fling_You L n then tile a Notice
Owner Information
to Lien Agent tor h:a project
w I N.ur
3300 FI"nlegmund,Nee Soils_II
tireen.huru_ At 3'4 Ile
Unicd Sw4
Pinal.um,��uuiei:unynna..win,.
Phone 9I9-99c.inS4
Vane( Ipl
technical Support l lotllnn:0/Pit 0;0-'184
II /'� Date Sl a 11 \�\
Plan Box# W Job Name I C t
App t14 I -2-')7 I Valuatiot I C 3 2:b SQ Feet a°y '7(
Garage
= 246
Inspections for SFD/SFA /
Crawl_ Slab_ Mono I/ Basement_
Footing Footing Plum Under Slab Footing
Foundation Foundation Ele. Under Slab Foundation
Address Address Address Waterproofing
Open Floor Slab Mono Slab Plum Under slab
Rough In Rough In Rough In Address
Insulation Insulation Insulation Slab
Final Final Final Open Floor
Rough In
Insulation
Final
Foundation Survey 6.77Envir. Health_ Other
Additions/Other
Footing
Foundation_
Slab_
Mono_
Open Floor_
Rough In
Insulation_
Final_
HARNETT COUNTY CENTRAL PERMITTING
P.O. BOX 65
LILLINGTON, NC 27546
For Inspections Call : (910) 893-7525 Fax: (910) 893-2793
Bldg Insp scheduled before 2pm available next business day.
Application Number 17-50041371 Date 5/30/17
Intersection
Property Address 11 HALLOW OAK ST
PARCEL NUMBER 01-0504- - -0125- -82-
Application type description CP NEW RESIDENTIAL (SFD)
Subdivision Name OLDE FARM VILLAGE PH3
Property Zoning RES/AGRI DIST - RA-20R
Owner Contractor
MRT 1-LLC WJH LLC
1714 E CENTER ST 3300 BATTLEGROUND AVE
LEXINGTON NC 27292 STE 230
GREENSBORO NC 27410
(336) 282-3606
Applicant
WJH LLC #135
3300 BATTLEGROUND AVE
STE 230
GREENSBORO NC 27410
(919) 995-5654
--- Structure Information 000 000 38X34 4BDR MONO W/ GARAGE
Flood Zone FLOOD ZONE X
Other struct info # BEDROOMS 4000000 . 00
PROPOSED USE SFD
SEPTIC - EXISTING? SEWER
WATER SUPPLY COUNTY
Permit BLDG,MECH, ELEC, PLB, INSU PERMIT
Additional desc .
Phone Access Code . 1191923
Issue Date . . . . 5/30/17 Valuation . . . . 0
Expiration Date . . 5/30/18
Special Notes and Comments
T/S: 05/12/2017 03 : 25 PM JBROCK - - - -
OLDE FARM VILLAGE #135 - 11 HALLOW OAK
ST
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
PERMIT INCLUDES BLDG, ELEC,MECH, PLUMB
INSULATION AND LAND USE.
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
Work must conform and comply with the
STATE BUILDING CODE and all other State
and local laws, ordinances & regulations
HARNETT COUNTY CENTRAL PERMITTING
P.O. BOX 65
LILLINGTON, NC 27546
For Inspections Call : (910) 893-7525 Fax: (910) 893-2793
Bldg Insp scheduled before 2pm available next business day.
Page 2
Application Number 17-50041371 Date 5/30/17
Property Address 11 HALLOW OAK ST
PARCEL NUMBER . 01-0504- - -0125- -82-
Application description . . CP NEW RESIDENTIAL (SFD)
Subdivision Name OLDE FARM VILLAGE PH3
Property Zoning RES/AGRI DIST - RA-20R
Permit BLDG,MECH, ELEC, PLB, INSU PERMIT
Additional desc .
Phone Access Code 1191923
Required Inspections
Phone Insp
Seq Insp# Code Description Initials Date
10-30 814 A814 ADDRESS CONFIRMATION / /
10-999 309 P309 R*PLUMB UNDER SLAB / /
20-999 114 B114 R*BLDG MONO SLAB/TEMP SVC POLE / /
20 104 B104 R*FOUND & SETBACK VERIF SURVEY / /
30-50 129 I129 R*INSULATION INSPECTION / /
30-60 425 R425 FOUR TRADE ROUGH IN / /
30-60 125 R125 ONE TRADE ROUGH IN / /
30-60 325 R325 THREE TRADE ROUGH IN / /
30-60 225 R225 TWO TRADE ROUGH IN / /
40-60 429 R429 FOUR TRADE FINAL
40-60 131 R131 ONE TRADE FINAL / /
40-60 329 R329 THREE TRADE FINAL / /
40-60 229 R229 TWO TRADE FINAL / /
40-60 209 E209 R*ELEC TEMP POWER CERT / /